新型冠状病毒肺炎疫情期间临床规培生心理评估及干预策略  

Psychological assessment and intervention strategies of clinical training students amid Covid-19

作　　者：肖佳佳 李丽波[1] 汤亚男[1] 陈红燕[1] 徐亚琦 聂燕[1] 吴金香[1] 季晓晓 Xiao Jiajia;Li Libo;Tang Yanan(Lishui people’s Hospital,Lishui 323000,Zhejiang,China)

机构地区：[1]丽水市人民医院,浙江丽水323000

出　　处：《中国高等医学教育》2020年第12期56-57,共2页China Higher Medical Education

摘　　要：目的:评估新型冠状病毒肺炎疫情期间临床规培生的心理状况,探讨合理的干预策略。方法:采用焦虑自评量表、抑郁自评量表对90名临床规培生进行心理评估,并通过心理疏导联合反复穿脱防护服、模拟新型冠状病毒肺炎患者临床诊疗的培训方式,比较干预前后焦虑、抑郁的变化。结果:培训前,临床规培生有43人出现焦虑,10人抑郁,15人焦虑合并抑郁。经过培训后,只有5人焦虑,1人抑郁,3人焦虑合并抑郁。结论:我院大多数临床规培生在面对新型冠状病毒肺炎疫情时出现焦虑、抑郁,合理的干预策略能够改善焦虑、抑郁。Objective:To assess psychological status of clinical training students,analyze the possible reasons and explore the reasonable psychological intervention strategies during the Covid-19(COVID-19)outbreak.Methods:The psychological status was assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS)among 90 clinical training students.The changes of psychological state among the students were evaluated by psychological counseling combined with repeated wearing and taking off protective clothing,simulating the clinical diagnosis and treatment of the Covid-19 patients once a week for 2 months,and compared the differences of anxiety and depression before and after intervention.Results:Before the training,68 clinical training students(75.6%)had anxiety or depression,including 43(47.8%)with anxiety,10(11.1%)with depression,and 15(16.7%)with anxiety and depression,SAS score:55.70±3.41,SDS score:54.50±1.58.After 2 months of psychological counseling and training,9(10%)clinical training students still had anxiety or depression,including 5(5.5%)with anxiety,1(1.1%)with depression,3(3.3%)with anxiety and depression,SAS score:33.56±7.94,SDS score:31.30±8.45.The improved numbers of anxiety were 38 and the improvement rate was 88.4%,The improved numbers of depression were 9 and the improvement rate was 90.0%,while both of them improved were 12,and the improvement rate was 80.0%.Conclusion:Most of clinical training students in our hospital showed anxiety or depression suffering from COVID-19.Reasonable psychological counseling combined with repeated wearing and taking off protective clothing,simulating the clinical diagnosis and treatment of Covid-19 patients can improve the anxiety and depression among the clinical training students,but it still needs further study.

关 键 词：新型冠状病毒肺炎 临床规培生 焦虑 抑郁 

分 类 号：G444[哲学宗教—心理学]